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Mr. Michael Dodge
Addiction (Substance Use Disorder) Counselor in Flora, Illinois
NPI 1548512650

Michael Dodge is an Addiction (Substance Use Disorder) Counselor based in Olney, IL and is specialized in Addiction (Substance Use Disorder). Michael Dodge practices in Flora, IL. The NPI Number for Michael Dodge is 1548512650 and holds a License No. (Illinois).

The current practice location address for Michael Dodge is 901 W 3Rd St, Flora, IL and can be reached out via phone at 618-662-2871 and via fax at 618-662-4748.

Location: 901 W 3Rd St, Flora, IL, 62450-4720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548512650
Provider Name
Michael Dodge
Credential
Provider Entity Type
Individual
Gender
Male
Address
901 W 3Rd St, Flora, IL, 62450-4720
Phone Number
618-662-2871
Fax Number
618-662-4748
Provider Enumeration Date
10/12/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
901 W 3Rd St
City
Flora
State
Illinois
Zip
62839-1287
Phone Number
618-662-2871
Fax Number
618-662-4748
person
Provider Business Mailing Address Details
Address
901 W 3Rd St
City
Flora
State
Illinois
Zip
62839-1287
Phone Number
618-662-2871
Fax Number
618-662-4748
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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